HomeMy WebLinkAbout038-1034-80-000 (3)m"
PRIVATE SEWAGE SYSTEM
Sl and On iding mncaa
INSPECTION REPORT
GENERAL INFORMATION
(ATTACH TO PERMIT)
Revocable Trust
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Oclaber 19-20A
CONEWHONAL APPROVAL CONDITIONALLY
APPROVED
PUN APPROVAL 5X 11 :2021-10-O DEPT OF SAFETY AND
Man Ralew: PWTS 10191 PROFESSIONAL SERVICES
RIMArx:oNrveu DIVISION OF INDUSTRY SERVICES
C`
Tones of STAR PRAIRIE
Now Lima (fotmry SEE CORRESPONDENCE
Total Amount: $250.0
FOR:
3lound Compressor Manuel - V ere 2 0, SRO-10691-P
N01/a1,R 10112)
Ncmmv Immibutim Componem Mmu !-Vat 2D,
SBD-10]06-P(N.01/0I,R 10112)
Description: 450 GPD-Rap(naeI Residential Mvund
Meimnmme Required
Th,mimitaldaz Tedm, ,he, Gemmeris J 6r Immemme with mind :®The Wumman Atimmamtive Cotla
and Wi ossom gtmmc. The uubmact M1e &I CONDI IIONALLY APPROVED. This aynem is to he
seconded sd I ... Win eavrdest with the endured o moved plan' and wits my compmom mmiml(s)
rI and Aswc The oera domed In chapter 101 ORIOT Wummm SLAI mummmic for mmplow"
wild mil code mummmmtr.
No person may mmrm no or wos at plumbing in Nc omccodes, lixmM to do or by the Oepauumt pro, is 14506,
fire tollowutg eooditimrs shell be met mesa eonsirmoon orinea0ulon and prior m ucaµrior or mace
Key Usame- POWTS Ursigin Approval
This system is to be .... oued and luetled in ..... drum with the nirpt plam. the "Moumd
• Loopmw Mnnuvl[r Pdvatc Ovue Wvrlowaltt Syslums Vers'on10"SRO-10691-P(NDI/01)md the
"Preuure mmumurimn(mm u...t MmmI Or dream. 0... te WmEwam, Imurs nr SysMos Versim 20"
III I0706-pMDlmll
• Any YR gnan,k.vo and,Moist such be cot short and removal prior or tilting Oe rur6a fur
i omAr.n No prevent mmtem m&,the dupmm m®.
Prior to construction of the dismal *no,.hak the moisture content of the suit to a depth of st
Summer; of compvniag of win dwell moult :,Munn; Theinfilwdan initially of me col. Pmpv mil
armhe mernmd by rosomple we mentesest not soil how", the hand, ]fit mW ins, a 1/4-m.A
q m rhea to Praeme, if it. mumble, she pmpn ten mop^sad. If me S¢ it too wa to
menace, m �m Ppce� coif it too,
• verify the omr fight ea..ntl ammi mul of the misting treatment Wn to b, rested.
• P... alewma want arvmond, marmad the treatment tooxe.nd moved dupeml manpowe
Theo mpooaif, fee me oper,[,,, nAm eci persons asideewNa V®Mean
a rem, (1'OWan TS) In=,,rdhi with SPS 381 d thenppi arrangement plan
The over, of v latIS e"ll be responded, (......ring that accosopi serves remain What or
muwd round to, math eWwulmt wdewwam... vr,ei pater+,
• owe n.b.n nowtom a ropy If npp^R^^"ryvmmn and maintenance a a.. al mNm aware. maturel
W me POWf9 d.snreal In Inv aeprvvuL
• Provide a dopy of the appeared POW! S plan, a ad mu liner w the owner.
A mpy at the approved plmq spccifcslions mad this Inter shall be of during eonmrnmis aid pan in
impeution by authorized mp,,,,aoiva of Ao Department. b,,h may. luda Mnl impabt, All paint..
rcquimtl by them tee me lnWm icipnliry.hell6e obminN ptia ro mmmencementof
wnawmmNnmminhnNwernmnm
In grentim des approval the Di... mofhammers soi e, me right to"i change. of "dam, d,sad
cmn dtli.s aria maknig Nmss eneeessy Jrremde mmrban.. As errant, stets lol.l]D). nothing ind i, mviaw
,mill ri the d,,ppe afore eeap,ri far remaining, rare bWmmg someone, or ,mummi
[morie, wnnmiog in,,mm,romi may be and, to me at mean,ti number litre Mloi or in the ai
as mid Integral
The di left addressee shall provide a ropy of this Inver mid the POWTS management plan to memvner and my
area, Who mu re.povible far tire indM ion, ap,mtlm ter treasurer, nI do Defeat
Sin>cerely, vy
Mads5 Finger
`OY✓fS Wastewater Specialist, Division of Industry 5erncess
(5N)574-1189
markfineer@wi.eo
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MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN
ReademiaJ Appnoadon
WDE Ml)TMEP.A3E RECEIVED
SLP 18 g010
Project Name: Tklidwr
Nam Omrera e: Eawmd ncnaNrRawmMTnm INDUSI KY SERVICES
D3,11 -u.
sMlare.lwl uo3s
Legal Ogcrlpbon NESE-e¢(I-T31N-RIM
Tpnship:
film Pre'vie
Ccun1Y
8t l]oN
$W Wiaon Nmne:
La Nunnw,
1 frock Nonage:
Pmcel l D. Nuniner
0A 10. 0-0013
Pon Transacllm No.:
Pages
Index and tMe
Paget
Dale entry
Pao 3
Mound drawngs
Pao
LdmM aM dose lank
paw
syNem m udennew spacilkadvas
Paw
ManaadneM and cmYngency plan
Page]
Pump cum and epecRcsllons
Pageo
PM Plan
page lD
ATT ad evadallon
Desiger IGm AOmrmtl /1 Llmme NumMr. 24M
Dale: O9115I1T Nunbar 715391-]9t]
Sgnelure:
o.�gnan n2.0IR )-wa
MountG PNutcttion 9NM1x FbwrS Ve e, 205 hWNeavolts %N1.0.11N2), )a d
beh
SSWss PUMnnllm8.8DadyxWReeeun Vm2a mNIb PIST3M15R1R1)
Paasmn U9ad,0on CpTGreMkID aal Vp.2o5R0.1D1o&P (N. 01p1. R, iN121
Vdekn]A(R. 11/12) Pageid 9
Mound and Pressure Distribution Component Design
Design Worksheet
elb Inhrtmalan
IN or CIA
Residential ran Ccmmc2ial DmiOn
ellbb
Esteemed Weslewmer Flow bpd)Poaking
�
Factor(eg. 1.5=150%)
Oes9n Flow(90)
SRe Stape Le)
Conlaw Lim Elevalcn(N
Depth a Limiting proer(in)
lavabo Sad Apptneton Role (yptlM')
Ohdr iewbn Call MareeaDen
D5Pomal Call tetpN A" COMour IN B.00 Iaig wipupI )
1TSAO
1.00
"1
D%PommI C9l Doren Leading Rels(gerbil
InnueM Wesleeala Oualiy(i or 2) Are Nm heals lM1e niPoni nt
m Rwa9NWtlon mN
PrwauM DI MOWpn lnfomaw en nekAmer T Ey orN
(C or E)
E
m
Cdar rcEnd plunged!
300
LeWaI SpmMI INIlNtlma,eMtt Die ekrv�
1�.
���
2
MlmleMe Ntlre M1gMstperM. J
0.126
Ordeal
Ono xG(n)
3A0
dO
ESlimale0 OForcenein nfiwkergn) (R)- 9.00 IilvNlce
2.00
FacemaF DingtoINin)
10QOD
Dave Melorranein dreM Eck2 DY
flg.M
Pump Ta*EkwM1(R)
Pump TaMt Elw&icn IN EmerYwN
B.SO Syslum Head (fl)vi]
12a] VafON LN (It
tA3 Frkbon ) IumorI
OM Yrire Filler Lasa(0)
21.b Toel DNamlc Neal(ft)
Ldaind OWN ealsNon
Yr Na. art®
0.]5
IN
?5
1W
3262
racsneh Drelneack(Wll
AVeldVolumegel)
hirmnum Diae VGpme(gal)
Swe d Dcmcrtl (wee)
8]30
IN 01
rand
MenRdO Oanmer&Nuallon
.are. fnns GIX
1?5 M
1 50
Oc
3.W
zoo
3.0
6vIMNnch Cadculater(optional)
TroNwnl Tank lnlarmatlm
10W CO
oral Tank l%petlty (wl)
1CW.00 'Tank CelbGty(wIJ
WW
TrialWaking Liquid DepN (in)
Wbser Manulachiar
2)]0
giant erver reSJt in mll 66g)
Mlwmank
EIR nOerinfdnW
WHY.Wk
PoO.N Ooee Tank
PG
to aclmrer
FiHx MenulNumb
Volum3aeace
18.]O Onse Tank V Walfi
t
PLd25
Fiber Made Number
nave reDin)
Wbax Manufacturer
PMW: Tide or Page2m 9
Mound Plan and Cross Section V'lawa
Meets Component Dimensions
85O6
Ainnn
D n.00 n G Zam X 1 1
872 X w 25.34 ftU
45p,Up (tla)geperael Cetl Ama 124662 (1:) Basal Area Available
fiW(ppLX) LFeet mailing Rafe 15o (X)1I1090Ls. Pia¢flawmaa
Mound Cmas Section View
Aggregate gspersel Area
G
1
i F
-
19339 (n) Letnal
1 3 (X)-+
Imretl
DI�ereM cell
jyZ
D
-
iz re
-
�
i--
101.99(X)Cunaur Elevation
2.5 %SNe Sbpe
Gml e91eF brc Cover
6beNrg Kay
y$ gapvetL
heal leNEWtlam
01
_Tgwoll Gp
smbmil cap
g
15X
f�b
�mpofalaeaASTM
�g
C33 SandTllea S
layer
. 8
0 fl '.Two
mpeeAggregate
moline in un
A�
awrwummvlAm}
Project: TKllemx
Psae3M 9
End Connection Lateral Layout Diagram
uxr mxP nexamvm • mpvy I
al.x�a.x.wxnaa lan—+I +web n. ena�aruxa
�iaam' md�mnna vvcpansa�a r'�aea vs
Lateral Diameerin
Lateral Leigh(P)or
Numeerm Lakrola42140
Latent Spadig(S)%
Latent Flow Ratelow
System Ftrx RateRon
Tom 9pleMc Headfl
orifice Narrater
OtlOro Spacing (X)
Onflcrs per Latad
0.lflx Moody
open Mamol Length
Manifak Diameter
faex meln VM»1y
0tzs
In
1F/mHka
F
Naec
3.O6fl
25
9.W
3.Wfl
tTS
2.10
Dose Tank lydermsgon
N 6PS 31830DWAC�•
Tak0(wA ale Mvemnn—
Wiaur
Manufatla
Gatlone
paunch
Ca
W000
Volume
10.76
Moderated
Wines
Croons
A
is 8a
315M
a
3.00
5oS
C
5.97
103.01
D
B 0
13I p9
Tolel
33bD
Bp0.00
Inwoe.,®.0
..Ne.wxfio+
4M red,
n t 21n.
A
w..ohomnraro
a worn e,,,
fi n .dam
Alarm Manumemor BIER Two AidTwk Alert Note. S"li
Alain Model Number 101-0iN cmlaininpmercury
may not be need in
Wrap Menu(eedd � N¢sYslem.
Pwnp Manuf Number G
Pump Muel Dal r 20.80 and at 21.0011TOH
Prged. TMedw PagaOaf 9
Mound Swftm MalMena am and Onenadon Sm Ifica
SnWm PmvNars Name PM1mc
p POW RulaWs Name St CrkuC ZUM PM1mc Tf�
Swim Fbw and L,oad Pammelna
Design Fbw - Peak 450 gpd Maximum lnfluml PatirA She tl% In
Eslimned Fkw-gvem9s z gad Maximum SOM Y20 mql
SSPk Tank Capably 1LW nal hlaximumMI 150 mgVL
SPilA�omnm GnnPmanl SMe 450 fl'• Workman FOG3] m9'L
TpeofWeanxakr Ownestic Maximum Feral Contents x10E4 NWlWmL
Septic and Fume Tan
Effluent Fad
Pump and Goosed
Nam
Pressure 3ynan
Sandra Freguen
Ins cl entl/userWra 3 years
SMUM'n and clan el keel once ewer3
eel men
years, SM1wld lest mmml
falmaksd WfluBhe mtl mmtenedeve 1.5
fn aM 3
Mlanllanaous ConuW Won and Mangano Standards
1. Oh mvalkm PVos are seemed and melaiak mn(nm to Table SPS 384.W-1, M1am a watmtgM rap,
and are saured m as slmwn n fine mmM mmpbrent manual.
z. Disposal ml aggregate conform to SPS W M(SNO. Wk. ndm. Code.
3. NI greWb and pressure pigng mammas common W me ranaremngs in SPS W, WB. Adne Case.
4. Tillma mgne basal area is acmmpllsM1sa wM a mM lwaM a cHsal plow.
5. Tne mmM a remem and OW alaluNea areas "be madea and mulched W Prevent cal xosim
aM beb reduce rest Pmesaten.
Latral Tumnup Oemell
Flnmletl .............. ...............
Goode
6-8-CommonLawn Threaded Cleanart
Spankln Valve Box Pap or Lean Valve
OISthWtiOn
`w 45 eSpeegeMSSem Name reas Udeal
Pr*cf: TlWenw Page50fg
Mound System Management Plan
PumumY,e We 953.54. Wis. Adm. Code
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mmYI6e�1gW,Pan,mf,a.,e,9t 65wapPadlo6ma6 ro+mn.aae RmvxatisnLraimCdnpammlMW Vx. e.1t96o-
An so
mh,wmeN avatemmnav tends dermmxyaummheryof mnemenlwv¢rcwurg
ms Ma9acar kad a sepfem pump he in
intends em Win te¢mry. ryaem ICo¢uamxaonsI
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ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNSRW CERTIFICATION FORM
Mailing Address 2610 &k .1Dr%ve &W43 FL 33830
PmPery Address 2236 9[C L�.i�%�'✓ Sot erse-f CU7 54D25
(ymlpwuop raryned fiom Plevmo8 k Zomog Depazmm[ fwnew rvmtlumov.)
Gty/State Pamui ldeouticauon Ntunba
LEGAL DESCRIPTION
pmPwty Looefioll /� i, s'A, S�� T 3�N RAW, To rn of �-
Lot#
Subdivision PlaE
Certified Snmry Map # Volume Page
Warranty Deed # (before 2007)Voluthe _! � Page k
spec house] ycRino LM lwa idmtifiebk4yesD ue
SYSTEM MAINTENANCE AND OWNER CERTIFICATION
Immowuce and m.nnmana ofyow aePtie tam could much Mils prertuOae railwe m to bele,hoc& eroPc
yeacu[s ofPamPihe out We eepdc hate, c, about¢yea, aWho t, If aOaj tl, by a licensed Pact Whm you put Out
the esem ran ot&e[ the fraction of fee Seale male as a teamem stage M the waste disposal cesohn Owasmeinrevaoce
uspoRnbilitlm are spslfiN m §SPS, 38352(I) Out to CNmtet 12-Sa (:mix CO®) 8mitmy Ordlatece
,,e Pmpatr ownee apvsw south tv St trot Cowry Plamwg&Laing Departmem a Qla finoau fwm, aPM by the
twm eM by mnrter Pluthn, lowneytm PltobX'ThtlCted Paulette he a tiwsM Pointervmf lug that(I)the off-site
ewatp disyvsal rysvm is to NoW opaawg ewdidon®NO,(a) abo, hoobuch had couph;(if ueocoo y), the septic unk is
bees than Ili yet of sludge.
I/we, the uvMsie ed have and the ahavcrequh'emwu and age W t antao the pnvate sewage dispwnb system wdh the
smodvds set kM, omm as set by the Depmmmt of Safety Md Pmfecioml Services and the DepararMm wca
tceof Rems,
South of Wincomm Cemfics[ion smdng atu yaw mate system Fes bcet aainuwW chat be wmPlebd had rbaoed to the Se Cmix
Cwnp• pmmMg& Zoning Deparwent %rdah 30 days of the tlfee year emimtiw &he.
Ice, «mbbut all vhmeofawwtrzmMdstlrawdet a that of Regnmyeourmr of oowhe . 1/we aWwe the owoals) of the
ppPety described above, by [Y
Number of bedrooms
Tsl�i an3'�c LDAM
SXINAnKEOFAPPLIC. I(S)
•"My Mfaumumn that is minrePrezeobi MY recut w the sani[arY WmM1 being mv(ked by the Plmmy S ZoNvg Depaeomot •••
boMde wild Nis Wheaton a becmdd warr®ry datl foam the Regisu Of Dads Office ced a copy of the urd eff sobof map h
refaTce t made M Ma wurtdy deed.
(REV. WI'_)
ST. CROIX COUNTY ZONING OFFICE
CERTIFICATION STATPIENT
FOR UTILIZATION OF EXIST SEPTIC TANK(S)
This is to certify that I have inspected the existing septic and/or dose tank
presently serving the following residence:
(Street address) y�?��f located
at -,4�E G, St, Y., Section fTown . ?/ N, RangeW,
Town of ,Tfcenb , St. Croix County Wisconsin.
Upon inspection, I certify that I have found the tank(s), to the best of my
knowledge, will conform to the requirements of Comm. 84.25, and it (they)
appears) to be functioning properly.
Most recent date of
Did flow back occur from absorption system? Yes >4 No
(if no, skip next line,)
Approximate volume or length of time: gallons minutes
Tank Capacity:
Construction: Prefab Concrete Steel Other
Manufacturer (if known): FL�S
Age ofTank (if known): /.
Permit number (if known) p�2/7/
�
( icensed ?lumber Signature) (Print lame)
(Title) (License Number) MP/MPRS
z-A2-/7
(Date)
Form to be completed by licensed plumber (Dept of Commerce Chapter 5
and s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin
Administrative Code)
Rev. 9/2008
PRIVATE SEWAGE SYSTEM
Counly
St.Croix
All and a lawaemm�
INSPECTION REPORT
nr"Itti,
59T363
GENERAL INFORMATION
(ATTACH TO PERMIT)
sim,
u.Ivmny L. oglHmh
MTOWN
'y
*��
Edward J Tichenor Revocable True
OF STAR PRAIRIE
038-1034-80-000
BM Nan,
Inv B1A Nw.
vi
08.31.18.154C-1
TANK INFORMATION AI
EUMVATI
OATH
TYPE
M NNFACNRER
I(( LANAI
STATION
FS
ELEJ.
Eeoa
Will
lblvacniq5M,
Doll
C o
/
All ryM
1
e
D�
1.42
Y
N.IS
tiliflot
Alit
Nogn
TANK 85TSACK
INFORMATION
SYRt Outlel
KTANTO
PAL
WELL
IIIDnwi
m<vm
ROaODI
hot
All
DI Bud,
Iz32
Ib,me
�7 ,
eenM.o.
sm Am
Dist Pass
ow-,,
goof mm
PUMPISIPHON INFORMATION
el Gong
.,!N
co.Y�IL TiR.
r I Ni al
was, Loss
sund"
rt
no 1, Dist I
SOILA ORPTION SYSTEM
DISTRISOJION SYSTEM J\
goal
Lwal Did Spacing.
SOIL COVER XPMIIMSnuMOnly nxovn tLueeayewm Dory
,van NwarM ,All
....e c,m. u ❑ Y., O No al ya. x.
COMMENTS: pwwe vme elereingdo,. veun¢ Prceam, m.I natiional �y//�� Ircpenlana.
L lun: 221 WTN ST �III')f /J'1'Ly '�}A/� y�,e0frA� �/
=iela;sawlI;„";tov fi.u-e�.p1�t 3vf4 Olds b�D Citd.wL )
amount itiovarb0somV
ALIothe",n".rta, oYe the N1 Revaamoo.l lmo�.0 A No
SED-
WPI� Q� S6U�^ �ui N (00